Zambia signs US health deal after disputes over data-sharing
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Zambian Health Minister Roma Chilengi (second right) said the agreement would not allow the sharing of individual patient records Zambia has signed a five-year health financing agreement with the US, ending months of public dispute over whether the country was trading citizens' medical data and mineral rights for aid.
赞比亚卫生部长 Roma Chilengi（右二）表示，该协议不允许共享个人患者记录 赞比亚与美国签署了一项为期五年的卫生融资协议，结束了数月来有关该国是否用公民医疗数据和矿权换取援助的公众争议。
Under the memorandum of understanding, signed in Lusaka on Thursday along with a data-sharing deal, the US will provide about $1.5bn (£1.1bn), with Zambia also contributing.
根据周四在卢萨卡签署的谅解备忘录以及数据共享协议，美国将提供约 15 亿美元（11 亿英镑），赞比亚也将出资。
Civil society groups had criticised a leaked draft they said allowed too much data sharing, while activists seized on reports that health money was being linked to preferential access for US companies to minerals, which the then-US ambassador denied.
民间社会团体批评了一份泄露的草案，他们称该草案允许过多的数据共享，而活动人士则抓住了有关医疗资金与美国公司优先获得矿产资源有关的报道，但时任美国大使否认了这一点。
The deal comes after the US Agency for International Development (USAID) was cut.
该协议是在美国国际开发署（USAID）被裁减后达成的。
US President Donald Trump had accused USAID of wasteful spending.
美国总统唐纳德·特朗普指责美国国际开发署浪费开支。
After closing the agency last year, Washington has pursued similar deals with a number of African countries, arguing partner governments should take on more of the cost. Kenya, Tanzania and Uganda are among those that have signed.
去年关闭该机构后，华盛顿与一些非洲国家寻求类似的协议，认为伙伴国政府应承担更多费用。 肯尼亚、坦桑尼亚和乌干达等已签署。
Ghana and Zimbabwe have rejected agreements over conditions about sharing data and specimens. Officials say the revised text of Zambia's new deal addresses concerns about privacy, intellectual property and benefit-sharing.
加纳和津巴布韦拒绝就共享数据和标本的条件达成协议。 官员们表示，赞比亚新协议的修订文本解决了对隐私、知识产权和利益分享的担忧。
Health Minister Roma Chilengi said earlier this week that clauses requiring Zambia to send biological specimens to the US had been removed, and that the agreement would not allow the sharing of individual patient records.
卫生部长罗马·奇伦吉本周早些时候表示，要求赞比亚向美国发送生物样本的条款已被删除，并且该协议不允许共享个人患者记录。
Data exchange, he said, would be limited to information needed to monitor and evaluate programmes funded under the deal.
他说，数据交换将仅限于监测和评估该协议资助的项目所需的信息。
Why some African nations are turning down Trump aid money A draft leaked earlier this year prompted civil society groups to warn that Zambia was accepting wider data-sharing terms than other African countries, including long-term access to pathogen information and specimens.
为什么一些非洲国家拒绝特朗普的援助资金 今年早些时候泄露的一份草案促使民间社会团体警告称，赞比亚正在接受比其他非洲国家更广泛的数据共享条款，包括长期获取病原体信息和标本。
The Chapter One Foundation, a human rights group, said the government risked "signing away" citizens' health data.
人权组织第一章基金会表示，政府冒着“签字放弃”公民健康数据的风险。
HIV advocates, including the Treatment Advocacy and Literacy Campaign, said the flow of information would be one-way and demanded the text be published.
包括治疗倡导和扫盲运动在内的艾滋病毒倡导者表示，信息流动将是单向的，并要求公布该文本。
Opposition figures and activists also seized on reports that health money was being linked to preferential access for US companies to Zambia's large reserves of copper and other critical minerals. In May, Foreign Minister Mulambo Haimbe called the data terms a violation of privacy and "unconscionable", and accused Washington of tying the package to minerals.
反对派人士和活动人士还抓住了有关医疗资金与美国公司优先获得赞比亚大量铜和其他重要矿产资源挂钩的报道。 五月，外交部长穆兰博·海姆贝称这些数据条款侵犯隐私且“不合理”，并指责华盛顿将该包裹与矿产挂钩。
Then-US ambassador, Michael Gonzales, rejected that account as false.
时任美国大使迈克尔·冈萨雷斯否认这一说法是虚假的。
The row was sharpened by an earlier US suspension of drug funding after the embassy alleged theft of donated medicines, which the government disputed. Zambia's new deal replaces support that for years flowed largely through US programmes.
早些时候，美国因大使馆涉嫌盗窃捐赠的药品而暂停了药品资助，而政府对此提出了异议，从而加剧了这场争吵。 赞比亚的新协议取代了多年来主要通过美国项目提供的支持。
The money is intended to support HIV/Aids, tuberculosis, malaria, maternal and child health, disease surveillance and wider health system work, including the recruitment of community health workers.
这笔资金旨在支持艾滋病毒/艾滋病、结核病、疟疾、孕产妇和儿童健康、疾病监测和更广泛的卫生系统工作，包括招募社区卫生工作者。
The US has described the arrangement as a shift from a donor-recipient model towards shared responsibility, with US funding expected to decline over the five years as Zambia increases domestic spending. Officials have put the combined package covering 2026 to 2030 at roughly $3.6bn, though figures for the Zambian share have varied.
美国将这一安排描述为从捐助者-受援者模式向共同责任模式的转变，随着赞比亚增加国内支出，美国的资金预计将在五年内减少。 官员们预计 2026 年至 2030 年的综合计划约为 36 亿美元，但赞比亚所占份额的数字有所不同。
Shortly after taking office for the second time in January 2025, Trump ordered the closure of USAID, in the process decimating health programmes in some African countries that relied on American funding.
2025 年 1 月第二次上任后不久，特朗普下令关闭美国国际开发署，在此过程中削弱了一些非洲国家依赖美国资助的卫生项目。
Critics say the move has impacted the speed of detecting the current ongoing Ebola outbreak in the Democratic Republic of Congo and the scale of the response, emphasising that the humanitarian agency was crucial to organising logistics, supplies and local outreach.
批评人士表示，此举影响了刚果民主共和国当前埃博拉疫情的检测速度和应对规模，并强调人道主义机构对于组织后勤、供应和当地外展至关重要。
The US denies its cuts have harmed efforts, arguing that they are more "aligned and effective" under the new arrangement and pointing to the $270m it has donated to tackle the epidemic.
美国否认其削减措施损害了相关努力，称在新安排下这些削减更加“一致和有效”，并指出美国已捐赠2.7亿美元来应对这一流行病。
USAID officially closes, attracting condemnation from Obama and Bush
美国国际开发署正式关闭，招致奥巴马和布什谴责
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